NPIMap

Organization Active NPI

Liberty Home Health, LLC Dba Carelab Georgia

  • Phlebotomy Technician
  • Duluth, GA
National Provider Identifier
1114666120
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
LIBERTY HOME HEALTH, LLC DBA CARELAB GEORGIA
Practice address
2730 N Berkeley Lake Rd NW Ste 1213
Duluth, GA 30096-1748
Phone
(678) 557-4329
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tony NguyenNPI 1184206922
Title
Manager
Phone
(404) 510-5584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246RP1900X Primary
Health Service Clinic/Center 261QH0100X
Research Clinic/Center 261QR1100X
Point of Service 305S00000X

Addresses

Primary practice location

2730 N Berkeley Lake Rd NW Ste 1213
Duluth, GA 30096-1748

Mailing address

2730 N Berkeley Lake Rd NW Ste 1213
Duluth, GA 30096-1748
Phone (678) 557-4329

National Provider Directory

National Provider Directory
Tax ID family
Carelab Diagnostic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2730 N Berkeley Lake Rd NW
Ste 1213
Duluth, GA 30096
Phone (678) 557-4329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1114666120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N BERKELEY LAKE RD NW STE 1213",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961748",
            "telephone_number": "678-557-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N BERKELEY LAKE RD NW STE 1213",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961748",
            "telephone_number": "678-557-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME HEALTH, LLC DBA CARELAB GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-510-5584"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.